Abstract
Objectives: To compare the effect of intra articular steroid injection and hydro dilatation of the shoulder joint to
improve disability and pain management in adhesive capsulitis.
Study Design: Randomized controlled trial.
th Place and Duration of Study: The study was carried out at the department of Orthopaedics, from 25 June 2017
th to 24 July 2018.
Materials and Methods: Diagnosed cases of Adhesive Capsulitis in outpatient clinic of Orthopaedics from both
genders were part of the study. A total of 30 patients presented in Orthopaedics outpatient department were
randomized into 2 groups by lottery method; group A received Intra-articular steroid injection and group B was
treated with hydraulic dilatation of the glenohumeral joint. Both groups received regular, supervised
physiotherapy sessions during follow up visits. Patient's pain scores and range of mobility were observed over a
period of twelve weeks. Follow up reviews were done at intervals of 2, 6, 8 and 12 weeks. Data analysed with
SPSS version 23.
Results: Total 18 female and 12 male patients were included in analysis. Results were categorized into excellent,
good, fair and poor, over parameters like Visual Analogue Scale and range of motion (ROM). During follow up
visits, 4% of patients from Group A and 36% of the patient from Group B had excellent, 56% from Group A and
34% from Group B had good, 26% from Group A and 24% from Group B had fair, while 14% from Group A and
only 6% from Group B had poor results . Group B showed significantly improved pain scores and mobility.
Conclusion: Based on results of our study, distension of glenohumeral joint with normal saline in patients of
frozen shoulder produces significant pain relief and improves range of motion as compared to intra articular
steroid injection.
Raja Adnan Ashraf, Sohail Iqbal Sheikh, Nabeel Sabir. (2019) Comparison between Hydro Dilatation and Intra Articular Steroid Injection in Patients with Frozen Shoulder in Term of Pain Relief and Range of Movement, Journal of Islamic International Medical College, Volume-14, Issue-3.
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